Provider Demographics
NPI:1518047521
Name:LEE, JANE ISABELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:ISABELLE
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2500 HOSPITAL DR
Mailing Address - Street 2:BLDG 7
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4106
Mailing Address - Country:US
Mailing Address - Phone:650-934-3689
Mailing Address - Fax:650-962-8357
Practice Address - Street 1:2500 HOSPITAL DR
Practice Address - Street 2:BLDG 7
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4106
Practice Address - Country:US
Practice Address - Phone:650-934-3689
Practice Address - Fax:650-962-8357
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG076206207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF86514Medicare UPIN
CA00G762060Medicare ID - Type Unspecified